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In the aftermath of the assassination of UnitedHealthcare CEO Brian Thompson in December 2024, everyday Americans took to social media to share stories of the challenges they'd faced trying to navigate the American health insurance system. Why did this event strike such a nerve with the American public? For a topic as central to the lives of Americans as health care, there is no book that examines the impact of coverage denial, whereby health insurers decide whether to cover health services that appear to be within the scope of a plan's benefits – not until now. In Coverage Denied, health policy professor Miranda Yaver offers a sobering account of the ways in which coverage denials damage patient health and exacerbate inequalities along income, education, and racial lines. Combining rich interview material with original survey data, Yaver draws critical attention to the tens of millions of medical claims denied by health insurers every year, shining a necessary light on our inequitable health care system.
This unique book offers a methodical exploration of biological, social, and ethical topics on the treatment (or lack thereof) of psychotic brain disease. Part I provides an empirical engagement with neuroscience and covers the neurobiology and pharmacology of schizophrenia, providing the reader with a current understanding of the disease. Topic areas include anosognosia, community treatments, and early intervention. Part II looks at international policy approaches to schizophrenia featuring topics such as the policy, funding, and historical elements contributing to frequently misguided approaches to severe brain disease, and it explains why some societies won't/can't support human beings with psychotic disease. Part III focuses on neuroethics and asks: 'What is right?' through chapters discussing the concepts of consciousness and free will, as well as the principles of nonmaleficence, beneficence, autonomy, and justice. Collectively the comprehensive approach of this book allows the reader to gain a full understanding of the ethical and clinical complexities in treating schizophrenia.
Previously published as Emergency Medicine Oral Board Review Illustrated, this fully revised third edition is a trusted, case-based resource for emergency medicine residents. Updated with the latest clinical practices and AHA guidelines, the book features 128 cases derived from the Model of Clinical Practice of Emergency Medicine. It offers a highly interactive approach to preparing for the American Board of Emergency Medicine (ABEM) Certifying Exam, while also serving as an excellent introduction to the specialty. This edition incorporates new content on resuscitation, medical decision-making, therapeutics, diagnostics, and emerging technologies. Special emphasis is placed on interpretation of EKGs, X-rays, CT scans, and ultrasounds to build visual diagnostic skills essential for modern EM practice. Reflecting the evolving ABEM exam structure, including case-based and structured interview formats, this edition is an indispensable tool for residents seeking to reinforce core clinical reasoning, master critical actions, and succeed on board exams.
A solid understanding of the key areas in hematopathology, hematology and coagulation is vital for trainees preparing to take their American Board of Pathology exams. This book provides challenging multiple-choice questions, in-depth explanations, and up-to-date diagnostic criteria to provide the reader with a thorough review of essential topics for board certification examinations in Hematopathology. This second edition has been updated and revised throughout, featuring expanded content on bone marrow failure, immunodeficiency, and benign WBC disorders, and revised terminology in alignment with current WHO and ICC systems. Additionally, it includes discussion of entities specific for ICC classification of myeloid neoplasms, and expanded discussion of mixed phenotype acute leukemia. Written by renowned and experienced authors who are actively involved in the practice and teaching of hematopathology, this book is an essential resource for exam preparation.
Step into this authoritative clinical guide designed to transform how you interpret semen tests and approach male fertility assessment. Specifically crafted for urologists, andrologists, reproductive endocrinologists and infertility specialists, this indispensable resource bridges laboratory findings with clinical action. Drawing on the sixth edition of the WHO Laboratory Manual, the book offers a comprehensive exploration of basic, extended, and advanced semen tests-highlighting their diagnostic value and clinical implications. As the latest WHO guidelines move away from fixed reference ranges, clinicians are now challenged to make nuanced, patient-specific decisions. This guide meets that challenge head-on with expert insights, real-world context, and practical strategies for interpreting semen reports and translating them into next steps in patient care. Whether you're new to the field or an experienced practitioner, this essential reference empowers you to harness the full potential of semen analysis in diagnosing and managing male infertility. Elevate your expertise-improve outcomes.
ThinkER equips emergency medicine residents with the tools they need to succeed where it matters most-at the bedside. Interactive and practical, the book is structured in two parts: the first section imparts the essential skills needed to excel in the Emergency Department, while the second section provides immersive case-based learning. Through realistic scenarios, readers are challenged to think critically, communicate clearly, and document effectively, with examples provided for review. The book trains readers in the cognitive framework unique to emergency care, where uncertainty, urgency, and limited information are commonplace. It also delves into the 'hidden curriculum' of Emergency Medicine: how to deliver bad news, collaborate with consultants, manage difficult nurses, and avoid communication breakdowns that lead to burnout. Helping to build the mindset and communication skills that distinguish great physicians early in their careers, this book is ideal for first-year residents, EMPA students, and medical students.
An intricate landscape of bias permeates biomedical research. In this groundbreaking exploration the myriad sources of bias shaping research outcomes, from cognitive biases inherent in researchers to the selection of study subjects and data interpretation, are examined in detail. With a focus on randomized controlled trials, pharmacologic studies, genetic research, animal studies, and pandemic analyses, it illuminates how bias distorts the quest for scientific truth. Historical and contemporary examples vividly illustrate the impact of biases across research domains. Offering insights on recognizing and mitigating bias, this comprehensive work equips scientists and research teams with tools to navigate the complex terrain of biased research practices. A must-read for anyone seeking a deeper understanding of the critical role biases play in shaping the reliability and reproducibility of biomedical research.
Girls are facing growing pressures that impact their self-esteem, whilst the pandemic and dominance of social media have made it even more challenging for girls to feel good about their bodies. Dr. Charlotte Markey provides girls aged 9–15 with the tools they need to understand, accept, and appreciate their bodies. She provides all the facts on puberty, mental health, self-care, why diets are bad news, dealing with social media, and everything in-between. Girls will find answers to questions they always wanted to ask, the truth behind many body image myths, advice and inspiration from experts, and real-life stories from girls who share their own experiences. Through this updated and beautifully illustrated guide, Dr. Markey teaches girls how to nurture both mental and physical health to improve their own body image, shows the positive impact they can have on others, and empowers them to go out into the world feeling fearless!
Intra-dural spinal tumours are a rare, yet diverse group of neoplasms, which may occur anywhere along the spinal neuroaxis. Their clinical presentations are typically slow and progressive in nature. Signs and symptoms are dictated by tumour location and size, and occur due to the sequalae of mass effect, oedema, ischaemia and subsequent metabolic dysfunction of neural tissue occurring secondary to compression of neural elements and neural vasculature. Back/neck pain and stiffness are the most common presenting complaint for patients presenting with intra-dural spinal tumours. Further symptoms are dependent on the location of the tumour. Lesions that compress or develop within the spinal cord are associated with upper motor neuron (myelopathic) signs and symptoms, whilst lesions compressing spinal nerves alone are associated with lower motor neuron (radicular) signs and symptoms. In some circumstances, a mixed picture of both upper and lower motor neuron symptoms may also be observed.
Patients with cancer visit the Emergency Department (ED) throughout the trajectory of their disease for symptoms that result from an initial diagnosis, side effects of treatment, clinical deterioration due to disease progression, and symptom management. Cancer patients are often sicker relative to the general ED patient population, with higher admission rates and increased risk of morbidity and mortality. Therefore, practitioners in acute care settings must have knowledge or quick access to reliable and evidence-based literature to provide thorough and compassionate care to this complex patient population. This book offers a practical, case-based breakdown of oncologic emergencies seen in acute care environments. It provides real-world examples to enhance the medical care provided to patients with cancer who present to emergency departments or outpatient clinics. It also serves as a guide to those who are educating learners through case scenarios that may be incorporated into residency didactic education.
Specialised perinatal mental health services are crucial in providing the best care for women and their families. An essential guide to perinatal psychiatry, this comprehensive resource is a must-have for psychiatric trainees, consultants, and mental health teams. Written by experts in the specialty, this book fills a critical gap in the field by addressing the specific needs of women during pregnancy and the postnatal period, their infants and families. Covering topics from normal development to rare syndromes, theoretical perspectives to cutting-edge treatments, it offers a thorough overview of perinatal psychiatry, ensuring that clinicians are well-prepared to provide comprehensive care to women and families in need. Part of The College Seminars series, and directly mapped to the MRCPsych curriculum, this book is a key resource for psychiatric trainees.
This Element offers a critical exploration of institutional health communication in an era marked by information overload and uneven content quality. It examines how health institutions can navigate the challenges of false, misleading, and poor-quality health information while preserving public trust and scientific integrity. Drawing from disciplines such as health communication, behavioral science, media studies, and rhetoric, this Element promotes participatory models, transparent messaging, and critical health literacy. Through a series of thematic sections and practical examples, it addresses the role of science, politics, media, and digital influencers in shaping public understanding. Designed as both a conceptual guide and a strategic toolkit, this Element aims to support institutions in fostering informed, engaged, and resilient communities through communication that is clear, ethical, and responsive to the complexities of today's health discourse. This title is also available as Open Access on Cambridge Core.
Flow cytometry plays a critical role in the diagnosis of hematopoietic neoplasms. Understanding the key immunophenotypic features of each entity is essential for accurate diagnosis. Filling a crucial gap in current literature, this is a comprehensive reference text that systematically details these immunophenotypic profiles. Grounded in real-world experience, this practice-driven resource offers expert guidance on the use of flow cytometry in the diagnosis and classification of hematolymphoid neoplasms. Covering major disease categories, technical insights, and emerging therapies like CAR T-cells, readers will gain a solid foundation for identifying deviations seen in hematologic malignancies, thereby enhancing diagnostic accuracy. Each chapter concludes with key points and diagnostic pitfalls for efficient comprehension and retention. This is an essential tool for pathologists, hematologists, trainees, and laboratory professionals seeking clarity and confidence in diagnosis.
PROMPT (Practical Obstetric Multi-Professional Training) is an international organisation providing training tools and resources to support multi-professional maternity teams providing care during obstetric emergencies. This is the fourth edition of the Manual, which summarises key evidence-based knowledge for a range of obstetric emergencies. Including 23 chapters covering both common or immediately life-threatening obstetric emergencies, this Manual also features wider considerations, such as civility and teamworking, that are required for safe multi-professional working in maternity care. New chapters in this edition include mental health, equity and equality, impacted fetal head, unplanned preterm birth and diabetes emergencies in pregnancy. The content is highly readable, with accessible content, frequent use of figures, tables and flow charts to present the evidence-based concepts in an easily digestible format. PROMPT is known for clear, logical and easy-to-follow algorithms and tools to be utilised in obstetric emergencies, ensuring safe and inclusive care for women and their babies.
In this thoroughly revised and updated second edition, the emphasis remains on providing a practical and up-to-date guide for the practicing pathologist when evaluating peripheral blood, bone marrow and lymph node specimens from pediatric patients. Over 400 high quality colour figures aid accuratecountries, the use of molecular diagnostics, and the role of flow cytometry in diagnosis and post-therapy monitoring of hematologic malignancies. The importance of unique diagnostic features of benign and malignant hematologic disorders in children is retained, with chapters authored by experienced pediatric hematopathologists and clinical scientists drawn from major children's hospitals across the US, Europe and Africa. The print book comes with access to the text and expandable figures online at Cambridge Core, which can be accessed via the code printed on the inside of the cover.
Although mental health is a better understood, more widely discussed topic in our society today, a degree of stigmatization persists, especially in severe cases with links to homelessness, job loss, poverty and human rights. It is also still present in environments such as the workforce, healthcare settings and educational environments, and often internalized by the sufferer themselves. This book provides a philosophical account of what mental illness stigma is, why it persists, what harms it causes to people subject to public stigma or who internalize stigma in themselves, and what can be done about it. It analyzes the process of stigmatization, both public and internalized, in the twenty-first century Western culture, especially in the United States - including the process of stereotyping, the expressive harm of stereotypes, the role of social norms in creating adaptive preferences and shaping behaviour, the moral distancing and status loss involved with social exclusion and dehumanization, and the harm of discrimination.
How healthy you are is dependent on where you live. Americans suffer more cancers, heart disease, mental illness, and other chronic diseases than those who live in other wealthy nations, despite having the most expensive healthcare system in the world. Why? Embark on a journey to unravel the profound impact of public policies on American health from before birth in Born Sick in the USA: Improving the Health of a Nation. Delve into the intricate web where economic inequality weaves a tapestry of sickness stemming from a highly stressed society. This compelling read illuminates the need for transformative change in social safety nets and public policies to uplift national health and well-being. Through vivid storytelling, the book unveils the symptoms, diagnosis, and 'medicine' required to steer the nation toward a healthier future. Join the movement for a healthier America by embracing the insightful revelations and empowering calls to action presented within the pages of this eye-opening book.
Bring life to your curriculum with this comprehensive, yet versatile book that explores core disaster medicine principles through vivid emergency medicine cases. Each case has been crafted to suit a wide range of learners – from novice to practitioner. The ready-to-teach cases are scalable and customizable to any learning environment, from low-resource teaching settings to high-fidelity simulation labs. Covering the basics of simulation to advanced disaster response strategies, cases cover natural and human-made disasters, including pandemics, building collapses, mass gathering medicine, and blast injuries, providing hands-on learning opportunities that can be used to enhance understanding and retention. Each case follows a standard structure including teaching objectives, discussion points, a timeline, and critical actions. With a mix of scenarios and flexible application, this resource will ensure every learner is prepared with the knowledge and skills necessary to navigate complexities associated with real-world emergencies while learning core disaster medicine principles.
This sixth volume in Stahl's Case Studies series presents a selection of clinical case studies in forensic psychopharmacology. Focusing on severe syndromes and clinical presentations found in the severely mentally ill who have become justice involved and/or required care in a state or forensic hospital facility, these cases illustrate questions that are routinely asked in psychiatric consultations. Following a consistent, user-friendly layout, each case features icons, tips and questions about diagnosis and management as it progresses over time, a pre-case self-assessment question, followed by the correct answers at the end of the case. Formatted in alignment with the American Board of Psychiatry and Neurology's maintenance of psychiatry specialty certification, cases address multifaceted issues in an understandable way. Covering a wide-ranging and representative selection of clinical scenarios, each case is followed through the complete clinical encounter, from start to resolution, acknowledging the complications, issues, decisions, twists and turns along the way.